Individual
SHAWN LEDOUX
Active
Individual
SHAWN LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
28746
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
E-9770
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06425721
—
MS
Enumeration date
05/11/2012
Last updated
09/13/2021
Update your record
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